Luis Bolanos, DO
NPI #1023647666 in Burlington, Vermont
Provider Information
- NPI Number
- 1023647666
- Entity Type
- Individual
- Name
- Luis Bolanos, DO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- DO
- Enumeration Date
- Apr 6, 2020
- Last Updated
- Jul 5, 2023
Practice Location
- Address
- 111 COLCHESTER AVE
- City
- Burlington
- State
- Vermont
- ZIP Code
- 05401-1473
- Phone
- (802) 847-0000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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